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Unintentional Injury Mortality Among Children Under Five Years - China, 2006-2017
Bo Chen1, Pengpeng Ye2, Biwei Tang3,4
1Department of Epidemiology and Biostatistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Insights
Child unintentional injury mortality in China significantly decreased from 2006-2017, particularly for males and rural children. Drowning and road injuries remain leading causes of death for children under five years.
Area of Science:
- Pediatric Public Health
- Injury Epidemiology
- Child Safety Research
Background:
- Unintentional injuries pose a significant public health challenge for children under five years in China.
- Previous epidemiological data on under-five unintentional injuries in China were limited to provincial or city-level reports, lacking a national perspective.
Purpose of the Study:
- To analyze national trends in unintentional injury mortality rates among children under five years in China.
- To identify demographic and geographic disparities in under-five unintentional injury mortality.
- To determine the primary causes of fatal unintentional injuries in this age group.
Main Methods:
- Utilized the national Disease Surveillance Points (DSPs) dataset for epidemiological analysis.
- Examined unintentional injury mortality data for children under five years between 2006 and 2017.
- Disaggregated data by sex and urban/rural residence.
Main Results:
- A substantial decrease in under-five unintentional injury mortality rates was observed nationwide from 2006 to 2017.
- Mortality rates were higher among rural children and males compared to urban children and females.
- The primary causes of fatal unintentional injuries were drowning and road traffic incidents.
Conclusions:
- Targeted public health interventions are crucial, focusing on drowning and road injury prevention.
- Policy efforts should prioritize high-risk populations, including males and children residing in rural areas.
- Adoption of international best practices and WHO recommendations for injury prevention is advised.
Abstract:
What is already known about this topic?
Abstract:
Unintentional injuries among children aged under five years is still a serious public health problem in China. Epidemiological characteristics of under-five unintentional injury are reported in single provinces and cities for China but not nationally based on the Disease Surveillance Points (DSPs) dataset.
Abstract:
What is added by this report?
Abstract:
Unintentional injury mortality rates for under-five decreased substantially between 2006 and 2017 in China, with the decrease occurring primarily for males and rural children. Children living in rural areas and males had higher unintentional injury mortality rates than children in urban areas and females. The major fatal types of under-five unintentional injury were drowning and road injury.
Abstract:
What are the implications for public health practice?
Abstract:
Further interventions need to be taken in accordance with the main types of unintentional injuries, especially effective prevention strategies used in other countries or recommended by the World Health Organization (WHO). Even with equal access to injury prevention and control services for different sexes, policy efforts should focus on higher-risk populations, especially children aged under five years who are males or reside in rural areas.
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